| NPI | 1013724244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP70038857) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61329093) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-08-26 |